Prevention of the knee osteoarthritis following meniscectomy is implantation of an allotransplant or an artificial meniscus. We present retrospective study of our early results of the treatment using polyurethane meniscal scaffold.
From 2016 to 2020, we implanted nine polyurethane scaffolds (Actifit) after partial meniscectomy, five males and four females, age 36 (16-47), BMI 26.7 (17.2-35.9) kg/m. Functional status, activity, pain, and MRI were assessed.
FU 20.8 (6-48.5) months, 35.2 (0-68) months from the meniscectomy to the implantation. The average implant length was 46.1 (35-60) mm, average number of sutures was 7.6 (5-10). Lysholm score before surgery was 61.7 (49-85), after the surgery 86.4 (62-95) with p 0.0045, Tegner activity score before meniscectomy was 5.8 (4-7), after 3.8 (2-5), and after the scaffold implantation 4.6 (3-7) with p 0.0488. Before surgery, VAS score was 3.1 (2-4), and after 7.7 (5-9) with p 0.0042. Pursuant to the Genovese classification, the last follow-up MRI showed a type 2 meniscal morphology in four cases and a type 3 in five cases. Seven patients had type 1 and two had type 2 signal intensity. On average, the absolute extrusion of a transplanted meniscus was 3.67mm, and the relative extrusion was 0.58mm. Extrusion progress was not detected.
Significantly improved knee functionality, increased level of physical activity, and reduced pain. MRI analysis revealed the meniscal transplant morphology and volume loss, as well as its extrusion without progression.
Significantly improved knee functionality, increased level of physical activity, and reduced pain. MRI analysis revealed the meniscal transplant morphology and volume loss, as well as its extrusion without progression.A series of energetic compounds derived from substituted oxadiazole molecules which were theoretically proved to have π-π stacking crystal structure using NIC method and QTAIM theory were designed and investigated theoretically as novel high-performance insensitive energetic materials. The heats of formation (HOFs) and detonation parameters were predicted based on Kamlet-Jacobs equations and Born-Haber cycle. All energetic compounds and derivatives were calculated at DFT-B3PW91/6-31G++(d,p) level and exhibited ideal oxygen balance (OB%) (-?19.50~15.68), positive heats of formation (424.0~957.4 kJ/mol), and pleasant crystal density (1.707~1.901 g/cm3). The predicted results revealed that detonation performances of some designed molecules are equal to traditional energetic materials while they are more stable and insensitive that can be considered to have potential synthesis and application value. Graphical abstract BRIEFS Three energetic molecules that proved may have a π-π stacking crystal structure and its derivatives were designed and investigated theoretical as novel high-performance insensitive energetic materials. The most of compounds exhibited positive solid phase heat of formation, idea oxygen balance and structural stability.Distress from being diagnosed with breast cancer can impact a woman's decision to continue taking adjuvant endocrine therapy (AET). The purpose of this study is to explore how religion and/or spirituality influence women's psychosocial adjustment to breast cancer and subsequent symptom management among women on active AET.
Semi-structured in-depth interviews were conducted with breast cancer survivors (n?=?19) from California and Texas. Interview questions prompted discussion about AET and how women adjusted to a breast cancer diagnosis and treatment with AET. Interview transcripts were analyzed with a deductive grounded theory approach, and an inductive constant comparison approach was used to identify the sources of religion and spirituality.
Religion supported women in their psychosocial adjustment to breast cancer by offering them a sense of purpose and meaning in life. It helped women make sense of their AET treatment as they persisted with it despite experiencing adverse side-effects. Spirituality played a prominent role in women's mental and physical wellbeing by facilitating positive and calm attitudes, which lessened women's fear during their cancer diagnosis and treatment.
We identified that religion and/or spirituality helps women with their adjustment to breast cancer and influences their continued use and management of side-effects from AET.
This study illustrates the importance of developing meaning-centered interventions that harness religion and spirituality to help women cope with AET. Our findings support the development of interventions that work to enhance AET persistence among breast cancer survivors.
This study illustrates the importance of developing meaning-centered interventions that harness religion and spirituality to help women cope with AET. Our findings support the development of interventions that work to enhance AET persistence among breast cancer survivors.A new class of polymeric sorbents based on deep eutectic solvents (DESs) is introduced. These materials are obtained from simple and inexpensive precursors via an energy-efficient process. The primary benefit of these sorbents is that they possess the unique characteristics of DESs and porous materials simultaneously. Moreover, the possibility of tailoring deep eutectic solvents allows designing a specific polymer for a desired analyte, based on its physical and chemical properties. https://www.selleckchem.com/products/iu1.html In this work, the deep eutectic solvent of tetrabutylammonium bromide and acrylic acid (12 molar ratio) was prepared and then polymerized under solventless condition. The synthesized polymer was characterized by FT-IR spectroscopy, X-ray diffraction (XRD), field emission scanning electron microscopy (SEM), and Brunauer, Emmett and Teller analysis (BET) to evaluate the properties of the sorbent. The poly (TBAB-2AA DES) was applied as a selective sorbent for preconcentration of lead from food and water samples prior to its quantification by flame atomic absorption spectroscopy (FAAS). Variable factors affecting the extraction were optimized, and under the optimum conditions, the calibration plot was linear in the range 5.0-250.0 μg L-1. The relative standard deviation was (for n?=?5) (RSD) less then ?3%. The limit of detection (LOD) and the enhancement factor were found to be 2.0 μg L-1 and 50, respectively. Finally, the accuracy of the method was assessed by comparison of the results with those obtained by direct determination of lead using inductively coupled plasma mass spectrometry (ICP-MS) and spiked real samples. The obtained recoveries were between 92 and 106%. Graphical abstract.